Self-assessment of surgical ward crisis management using video replay augmented with stress biofeedback
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Published version
Author(s)
Type
Journal Article
Abstract
Background
We aimed to
explore the feasibility and attitudes towards using vid
eo replay
augmented with real time stress quantification for the self
-
assessment of
clinical
skills during simulated
surgical ward crisis management
.
Methods
22 clinicians participated in 3 different simulated ward based scenarios of
deteriorating post
-
o
perative patients.
Continuous ECG recordings were made
for all participants to monitor stress levels using heart rate variability (HRV)
indices. Video recordings of simulated scenarios augmented with real time stress
biofeedback were replayed to participa
nts.
They were then asked to self
-
ass
ess
their performance using an objective assessment
tool.
Participants’
attitudes
were explored using a post study questionnaire.
Results
Using HRV stress indices, we demonstrated higher stress levels in novice
participants.
Self
-
assessment scores
were
significantly
higher
in more
experienced participants. Overall, participants felt that video replay
and
augmented stress biofeedback were use
ful in self
-
assessment.
Conclusion
Self
-
assessment using an objective self
-
assessment tool alongside video replay
augmented with stress biofeedback is feasible in a simulated setting and well
liked by participants.
We aimed to
explore the feasibility and attitudes towards using vid
eo replay
augmented with real time stress quantification for the self
-
assessment of
clinical
skills during simulated
surgical ward crisis management
.
Methods
22 clinicians participated in 3 different simulated ward based scenarios of
deteriorating post
-
o
perative patients.
Continuous ECG recordings were made
for all participants to monitor stress levels using heart rate variability (HRV)
indices. Video recordings of simulated scenarios augmented with real time stress
biofeedback were replayed to participa
nts.
They were then asked to self
-
ass
ess
their performance using an objective assessment
tool.
Participants’
attitudes
were explored using a post study questionnaire.
Results
Using HRV stress indices, we demonstrated higher stress levels in novice
participants.
Self
-
assessment scores
were
significantly
higher
in more
experienced participants. Overall, participants felt that video replay
and
augmented stress biofeedback were use
ful in self
-
assessment.
Conclusion
Self
-
assessment using an objective self
-
assessment tool alongside video replay
augmented with stress biofeedback is feasible in a simulated setting and well
liked by participants.
Date Issued
2018-04-19
Date Acceptance
2018-03-06
Citation
Patient Safety in Surgery, 2018, 12
ISSN
1754-9493
Publisher
BioMed Central
Journal / Book Title
Patient Safety in Surgery
Volume
12
Copyright Statement
© The Author(s). 2018.
This article is distributed under the terms of the Creative Commons Attribution 4.0 International
License (
http://creativecommons.org/licenses/by/4.0/
), which permits unrestricted use, distribution, and reproduction in any medium,
provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and
indicate if changes were made. The Creative Commons Public Domain Dedication waiver (
http://creativecommons.org/
publicdomain/zero/1.0/
) applies to the data made available in this article, unless otherwise stated.
This article is distributed under the terms of the Creative Commons Attribution 4.0 International
License (
http://creativecommons.org/licenses/by/4.0/
), which permits unrestricted use, distribution, and reproduction in any medium,
provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and
indicate if changes were made. The Creative Commons Public Domain Dedication waiver (
http://creativecommons.org/
publicdomain/zero/1.0/
) applies to the data made available in this article, unless otherwise stated.
Sponsor
Engineering & Physical Science Research Council (E
Grant Number
EP/K503733/1
Subjects
Science & Technology
Life Sciences & Biomedicine
Surgery
Simulation
Self-assessment
Stress
Biofeedback
HEART-RATE-VARIABILITY
MENTAL STRESS
PERFORMANCE
SKILLS
SURGERY
1103 Clinical Sciences
Publication Status
Published
Article Number
ARTN 6